| NPI | 1871226795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 1570) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23473) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-10-01 |